Jimmie, Dewayne Gene
Jimmie, Dewayne Gene is an individual health care provider with primary practice located at 122 1St Ave Suite 400, Fairbanks AK 99701-4803. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jimmie, Dewayne Gene can be contacted via phone (907) 452-8251.Contact Information
Primary practice address
122 1St Ave Suite 400
Fairbanks AK 99701-4803
Phone: (907) 452-8251
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1215204664 |
|---|---|
| LBN Legal business name | Jimmie, Dewayne Gene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2011 |
| Last updated | Nov 29th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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